Provider Demographics
NPI:1629042692
Name:BENJAMIN H. OIEN
Entity Type:Organization
Organization Name:BENJAMIN H. OIEN
Other - Org Name:OIEN FAMILY CHIROPRACTIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:OIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-274-6436
Mailing Address - Street 1:600 W 37TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-5601
Mailing Address - Country:US
Mailing Address - Phone:605-274-6436
Mailing Address - Fax:
Practice Address - Street 1:600 W 37TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-5601
Practice Address - Country:US
Practice Address - Phone:605-274-6436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-15
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD100151Medicare ID - Type Unspecified